功能性活动以优化家庭健康中的患者结果:试点随机对照试验
Chiung-Ju Liu1, Dorian K Rose2, Peihua Qiu3
1Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Journal of the American Medical Directors Association
|March 9, 2026
概括
家庭活动重启计划 (HARP) 对家庭健康患者来说是可行的和安全的,但与单独的常规治疗相比,它没有改善日常生活活动或身体功能.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 家庭健康治疗旨在改善老年人的日常生活活动 (ADL) 和身体功能.
- 在康复期间,逐渐增加任务需求可能会改善患者的结果.
- 家庭活动重启计划 (HARP) 是为了结合补偿和恢复方法而开发的.
研究的目的:
- 检查HARP作为常规家庭健康治疗的辅助剂的可行性和初步效果.
- 评估HARP对家庭健康患者的ADL表现和身体功能的影响.
主要方法:
- 进行了一次单盲试点随机对照试验,并进行了重复测量.
- 47名家庭健康患者 (平均年龄为82.3岁) 被随机分配到HARP加常规治疗或仅接受常规治疗.
- 结果包括运动和过程技能评估,急性后护理活动测量和体力表现测试.
主要成果:
- 哈普的可行性高 (88%完成) 和患者满意度高 (95%).
- 没有报告任何严重的不良事件.
- 在HARP和对照组之间没有观察到功能结果或身体功能方面的显著差异.
结论:
- 将HARP添加到通常的家庭健康治疗中是可行的和安全的,但不会改善功能结果.
- 实施中的挑战,例如治疗访问频率和干预时间,可能会影响结果.
- 将辅助干预措施整合到现实世界家庭医疗保健中存在固有的困难.
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